Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samantha Lee Kyvik

Individual provider Physician Assistant · NPI 1184246472

Samantha Lee Kyvik is a Physician Assistant in Monroe, New York. Qualified in 2020, 6 years ago. Practices with Hudson Dermatology, PC, a 41-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

147 Ludlam Rd
Monroe, NY 10950-4534
Phone: (917) 715-8978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 025434 (NY)

Record details

NPI number1184246472
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 11, 2020
Last updated in NPPESAugust 29, 2020
Certification dateAugust 29, 2020
Mailing address147 Ludlam Rd, Monroe, NY 10950-4534

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Hudson Dermatology, Pc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Monroe